-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
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<SEC-DOCUMENT>0001019404-09-000004.txt : 20091105
<SEC-HEADER>0001019404-09-000004.hdr.sgml : 20091105
<ACCEPTANCE-DATETIME>20091105143055
ACCESSION NUMBER:		0001019404-09-000004
CONFORMED SUBMISSION TYPE:	D/A
PUBLIC DOCUMENT COUNT:		1
ITEM INFORMATION:		Rule 506
FILED AS OF DATE:		20091105
DATE AS OF CHANGE:		20091105
EFFECTIVENESS DATE:		20091105

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			AMERICAN KIDNEY STONE MANAGEMENT LTD
		CENTRAL INDEX KEY:			0001019404
		IRS NUMBER:				311430603
		STATE OF INCORPORATION:			OH

	FILING VALUES:
		FORM TYPE:		D/A
		SEC ACT:		1933 Act
		SEC FILE NUMBER:	021-115632
		FILM NUMBER:		091160773

	BUSINESS ADDRESS:	
		STREET 1:		797 THOMAS LANE
		CITY:			COLUMBUS
		STATE:			OH
		ZIP:			43214
		BUSINESS PHONE:		614-298-8150

	MAIL ADDRESS:	
		STREET 1:		797 THOMAS LANE
		CITY:			COLUMBUS
		STATE:			OH
		ZIP:			43214
</SEC-HEADER>
<DOCUMENT>
<TYPE>D/A
<SEQUENCE>1
<FILENAME>primary_doc.xml
<TEXT>
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    <submissionType>D/A</submissionType>

    <testOrLive>LIVE</testOrLive>

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        <cik>0001019404</cik>
        <entityName>AMERICAN KIDNEY STONE MANAGEMENT LTD</entityName>
        <issuerAddress>
            <street1>797 THOMAS LANE</street1>
            <city>COLUMBUS</city>
            <stateOrCountry>OH</stateOrCountry>
            <zipCode>43214</zipCode>
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        <issuerPhoneNumber>614-298-8150</issuerPhoneNumber>
        <jurisdictionOfInc>OHIO</jurisdictionOfInc>
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        <entityType>Limited Liability Company</entityType>
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    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Henry</firstName>
                <middleName>A.</middleName>
                <lastName>Wise, II</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Alan</firstName>
                <lastName>Buergenthal</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
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            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>James</firstName>
                <middleName>H.</middleName>
                <lastName>Nelson, III</lastName>
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            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>John</firstName>
                <middleName>F.</middleName>
                <lastName>Perez</lastName>
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                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
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        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>David</firstName>
                <lastName>Stewart</lastName>
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                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
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            </relatedPersonRelationshipList>
            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Victor</firstName>
                <middleName>E.</middleName>
                <lastName>Agusta</lastName>
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            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Stephen</firstName>
                <middleName>A.</middleName>
                <lastName>Koff</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Daniel</firstName>
                <middleName>S.</middleName>
                <lastName>Murtagh</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Rocco</firstName>
                <middleName>A.</middleName>
                <lastName>Morabito</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
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            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Giovanni</firstName>
                <lastName>Colombo</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Ronald</firstName>
                <lastName>Cercone</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Directors are known as Managers within this entity.</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Ric</firstName>
                <middleName>A</middleName>
                <lastName>Hughes</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>797 Thomas Lane</street1>
                <city>Columbus</city>
                <stateOrCountry>OH</stateOrCountry>
                <zipCode>43214</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
    </relatedPersonsList>

    <offeringData>
        <industryGroup>
            <industryGroupType>Other Health Care</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>$25,000,001 - $100,000,000</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>06</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>true</isAmendment>
                <previousAccessionNumber>0001019404-09-000003</previousAccessionNumber>
            </newOrAmendment>
            <dateOfFirstSale>
                <value>2009-08-26</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isOtherType>true</isOtherType>
            <descriptionOfOtherType>units of limited liability company membership interest</descriptionOfOtherType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>56</minimumInvestmentAccepted>
        <salesCompensationList></salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>448000</totalOfferingAmount>
            <totalAmountSold>84000</totalAmountSold>
            <totalRemaining>364000</totalRemaining>
            <clarificationOfResponse></clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>2</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>0</dollarAmount>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse></clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>0</dollarAmount>
            </grossProceedsUsed>
            <clarificationOfResponse></clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>AMERICAN KIDNEY STONE MANAGEMENT LTD</issuerName>
                <signatureName>Ric A. Hughes</signatureName>
                <nameOfSigner>Ric A. Hughes</nameOfSigner>
                <signatureTitle>CFO and Assistant Secretary</signatureTitle>
                <signatureDate>2009-11-05</signatureDate>
            </signature>
        </signatureBlock>
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</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----